Individual
TAMARA YAGUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11835 QUEENS BLVD STE 612, FOREST HILLS, NY 11375-7200
(347) 944-2359
Mailing address
11835 QUEENS BLVD STE 612, FOREST HILLS, NY 11375-7200
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1584359221
NY
Other
Enumeration date
04/14/2022
Last updated
04/15/2022
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